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Study to Evaluate the Effectiveness and Safety of Ozanimod Compared to Fingolimod in Children and Adolescents With Relapsing Remitting Multiple Sclerosis

Phase 3
Recruiting
Conditions
Multiple Sclerosis, Relapsing-Remitting
Interventions
Registration Number
NCT06408259
Lead Sponsor
Celgene
Brief Summary

The purpose of this study is to evaluate the effectiveness, safety, tolerability, drug levels and drug effects of ozanimod compared to fingolimod in children and adolescents with relapsing remitting multiple sclerosis (RRMS).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
194
Inclusion Criteria
  • Has a diagnosis of multiple sclerosis (MS) as defined by the 2017 revision of the McDonald Criteria with a relapsing remitting course of disease.

  • Meets at least 1 of the following criteria for disease activity:

    i) At least 1 MS relapse/attack in the previous year prior to screening.

ii) At least 2 MS relapses/attacks in the previous 2 years prior to screening.

iii) Evidence of 1 or more gadolinium-enhancing (GdE) lesions on magnetic resonance imaging (MRI) within 6 months prior to baseline (including screening MRI).

  • Has an Expanded Disability Status Scale (EDSS) score of 0 to 5.5, both inclusive.
Exclusion Criteria
  • Diagnosis of progressive forms of MS.
  • Active or chronic disease of the immune system other than MS.
  • Clinically relevant cardiovascular, hepatic, neurological other major systematic disease.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
FingolimodPlacebo-
FingolimodFingolimod-
OzanimodOzanimod-
OzanimodPlacebo-
Primary Outcome Measures
NameTimeMethod
Annualized relapse rate (ARR)Up to 2 years
Secondary Outcome Measures
NameTimeMethod
Proportion of participants who did not have a confirmed relapseAt 12 and 24 months
Incidence of treatment-emergent adverse events (TEAEs) over the treatment period and over the post-treatment follow-up periodUp to 87 months
Incidence of adverse event of special interests (AESIs) over the treatment period and over the post-treatment follow-up periodUp to 87 months
Number of new or newly enlarging hyperintense lesions on T2 magnetic resonance imaging (MRI) sequencesAt 6, 12, 18, and 24 months
Steady state plasma concentrations of ozanimodAt day 90
Steady state plasma concentrations of the primary active metabolite CC112273At day 90
Change from baseline pharmacodynamics (PD) biomarkers of absolute lymphocyte countAt day 90 and throughout the study up to 24 months
Number of gadolinium enhancing (GdE) T1 lesionsAt month 6 and month 12
Adverse events (AEs) leading to discontinuation over the treatment period and over the post-treatment follow-up periodUp to 87 months

Trial Locations

Locations (31)

Local Institution - 0110

๐Ÿ‡บ๐Ÿ‡ธ

Phoenix, Arizona, United States

Local Institution - 0114

๐Ÿ‡บ๐Ÿ‡ธ

Loma Linda, California, United States

Local Institution - 0053

๐Ÿ‡บ๐Ÿ‡ธ

Tampa, Florida, United States

Local Institution - 0093

๐Ÿ‡บ๐Ÿ‡ธ

Chicago, Illinois, United States

Local Institution - 0055

๐Ÿ‡บ๐Ÿ‡ธ

Chicago, Illinois, United States

Local Institution - 0091

๐Ÿ‡บ๐Ÿ‡ธ

Cincinnati, Ohio, United States

Local Institution - 0092

๐Ÿ‡บ๐Ÿ‡ธ

Portland, Oregon, United States

Local Institution - 0033

๐Ÿ‡บ๐Ÿ‡ธ

Milwaukee, Wisconsin, United States

Local Institution - 0113

๐Ÿ‡ฆ๐Ÿ‡บ

Melbourne, Victoria, Australia

2Ca Braga

๐Ÿ‡ต๐Ÿ‡น

Braga, Portugal

Local Institution - 0105

๐Ÿ‡ต๐Ÿ‡น

Coimbra, Portugal

Local Institution - 0104

๐Ÿ‡ต๐Ÿ‡น

Lisboa, Portugal

Local Institution - 0102

๐Ÿ‡ต๐Ÿ‡น

Porto, Portugal

Local Institution - 0096

๐Ÿ‡ช๐Ÿ‡ธ

Esplugues de Llobregat, Barcelona [Barcelona], Spain

Local Institution - 0098

๐Ÿ‡ช๐Ÿ‡ธ

Vigo, Pontevedra [Pontevedra], Spain

Hospital Universitario Virgen Macarena

๐Ÿ‡ช๐Ÿ‡ธ

Sevilla, Spain

Hospital Universitari i Politecnic La Fe

๐Ÿ‡ช๐Ÿ‡ธ

Valรจncia, Spain

Local Institution - 0130

๐Ÿ‡บ๐Ÿ‡ธ

Sacramento, California, United States

UCSF Benioff Children's Hospital San Francisco

๐Ÿ‡บ๐Ÿ‡ธ

San Francisco, California, United States

Axiom Clinical Research of Florida

๐Ÿ‡บ๐Ÿ‡ธ

Tampa, Florida, United States

Washington University

๐Ÿ‡บ๐Ÿ‡ธ

Saint Louis, Missouri, United States

University of Naples Federico II

๐Ÿ‡ฎ๐Ÿ‡น

Napoli, Campania, Italy

Ospedale San Raffaele

๐Ÿ‡ฎ๐Ÿ‡น

Milano, Lombardia, Italy

Neurological Center Of Latium

๐Ÿ‡ฎ๐Ÿ‡น

Rome, Roma, Italy

Local Institution - 0078

๐Ÿ‡ฒ๐Ÿ‡ฝ

Mexico City, DIF, Mexico

Uniwersytecki Szpital Kliniczny w Poznaniu

๐Ÿ‡ต๐Ÿ‡ฑ

Poznaล„, Wielkopolskie, Poland

Local Institution - 0088

๐Ÿ‡ท๐Ÿ‡ด

Bucharest, Bucureศ™ti, Romania

Prof. Dr. Alexandru Obregia Psychiatry Hospital

๐Ÿ‡ท๐Ÿ‡ด

Bucharest, Bucureศ™ti, Romania

Local Institution - 0101

๐Ÿ‡ช๐Ÿ‡ธ

Zaragoza, Spain

National Taiwan University Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Taipei, Taiwan

Local Institution - 0109

๐Ÿ‡น๐Ÿ‡ท

Samsun, Turkey

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